NPI | 1457795908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 13349) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 5446) |
Enumeration Date | 2013-04-25 |
Last Update Date | 2013-08-23 |